{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:22:56Z","timestamp":1773274976457,"version":"3.50.1"},"reference-count":70,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T00:00:00Z","timestamp":1593475200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007099","name":"San Diego State University","doi-asserted-by":"publisher","award":["University Grants Program"],"award-info":[{"award-number":["University Grants Program"]}],"id":[{"id":"10.13039\/100007099","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>San Diego, California is consistently ranked among regions with the highest rates of homelessness in the United States. From 2016 to 2018, San Diego experienced an unprecedented outbreak of hepatitis A virus (HAV), largely attributed in media and public health discourse to the region\u2019s growing population of people experiencing homelessness. Little attention, however, was devoted to examining the experiences and needs of this population, particularly transitional aged youth (TAY, aged 18\u201324) experiencing homelessness who may have been uniquely affected by the outbreak. This community-based participatory research study leveraged diverse qualitative methods, principally photovoice, to explore how the social and built environment shapes health among TAY experiencing homelessness in San Diego, how these environments may have contributed to the HAV outbreak, and TAY\u2019s perceptions of HAV-related public health interventions. Emergent findings include stigmatization of TAY and other people experiencing homelessness, interventions that failed to address root causes of the outbreak, and interactions with housing-related and other social support resources that limit rather than support economic and social mobility. Findings have implications for understanding how media and public discourse, public health interventions, and availability and delivery of resources can contribute to and perpetuate stigma and health inequities faced by TAY experiencing homelessness.<\/jats:p>","DOI":"10.3390\/ijerph17134721","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T14:24:24Z","timestamp":1593527064000},"page":"4721","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["\u201cIt\u2019s Just a Band-Aid on Something No One Really Wants to See or Acknowledge\u201d: A Photovoice Study with Transitional Aged Youth Experiencing Homelessness to Examine the Roots of San Diego\u2019s 2016\u20132018 Hepatitis A Outbreak"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9915-4637","authenticated-orcid":false,"given":"Jennifer K.","family":"Felner","sequence":"first","affiliation":[{"name":"School of Public Health, San Diego State University, San Diego, CA 92123, USA"},{"name":"Institute for Behavioral and Community Health, San Diego State University, San Diego, CA 92123, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talia","family":"Kieu","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University, San Diego, CA 92123, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Stieber","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University, San Diego, CA 92123, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hunter","family":"Call","sequence":"additional","affiliation":[{"name":"Independent Researcher, San Diego, CA 92123, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Kirkland","sequence":"additional","affiliation":[{"name":"Independent Researcher, San Diego, CA 92123, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Farr","sequence":"additional","affiliation":[{"name":"Child and Adolescent Services Research Center, School of Medicine, University of San Diego, San Diego, CA 92123, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jerel P.","family":"Calzo","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University, San Diego, CA 92123, USA"},{"name":"Institute for Behavioral and Community Health, San Diego State University, San Diego, CA 92123, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,30]]},"reference":[{"key":"ref_1","unstructured":"Centers for Disease Control and Prevention (2020, April 06). 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